29D2122821 CLIA NUMBER - CENTENNIAL HOSPICE

Laboratory Demographics

  • CLIA Code: 29D2122821
  • Facility Name: CENTENNIAL HOSPICE
  • Facility Address: 5613 S EASTERN AVE
    LAS VEGAS, NV
    ZIP 89119
  • Facility Phone: 702 527-5553
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: WILBERT CHING
  • NPI Number: 1609235050
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 29D2122821
LAB Type Hospice
Facility Name CENTENNIAL HOSPICE
Street 5613 S EASTERN AVE
City LAS VEGAS
State NV
ZIP 89119
Phone 702 527-5553
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2024
Certificate Expiration Date 12/5/2026
Facility Type Hospice
Lab Director WILBERT CHING

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This page was last updated on: 9/29/2025